Adolescent Health, Great Ormond Street Hospital for Children Foundation Trust, London, UK.
J Clin Nurs. 2013 Jan;22(1-2):201-10. doi: 10.1111/j.1365-2702.2012.04140.x. Epub 2012 Jul 27.
An action research study was undertaken to explore the development of the nurse consultant role when caring for children and young people.
Five nurse consultants in different areas of specialist care in a tertiary paediatric hospital undertook the study when implementing the new role of nurse consultant into the hospital.
Action research meetings took place over a year. The nurse consultants then collated and analysed data using thematic analysis during the second year. A research fellow facilitated meetings, carried out participant observation, and coordinated the action research project.
Data analysis revealed 22 subthemes grouped into four overarching themes: shaping the role; shaping child-centred care through consultancy; taking responsibility for practice; and leadership. These roles and their ease and complexity within the nurse consultant role are examined in further detail in this paper. Balancing the four key components in a newly developing role was initially complex and required support. Over time the nurse consultants developed the necessary skills to perform fully in all areas. A major challenge was developing the research role, a key function of the nurse consultant role. By the end of the study, all nurse consultants were actively embarking upon their own research either in preparation for or as part of Doctoral studies.
While there are many similarities with nurse consultants in adult practice, one major difference was the nurse consultant role in supporting families when caring for children and young people. This meant having a three-way communication style: with the family, the child/young person, and other healthcare professionals. This communication style was observed by the research fellow in participant observation of the nurse consultants undertaking clinical care and is described further in the analysis of the role.
一项行动研究旨在探索在照顾儿童和青少年时护士顾问角色的发展。
在一家三级儿科医院的不同专科护理领域，五名护士顾问在将护士顾问的新角色引入医院时进行了这项研究。
行动研究会议持续了一年。然后，护士顾问在第二年使用主题分析方法对数据进行整理和分析。一位研究助理主持会议、进行参与者观察并协调行动研究项目。
数据分析揭示了 22 个子主题，分为四个总体主题：塑造角色；通过咨询塑造以儿童为中心的护理；对实践负责；领导力。在本文中，更详细地研究了这些角色及其在护士顾问角色中的易用性和复杂性。在新发展的角色中平衡这四个关键要素最初是复杂的，需要支持。随着时间的推移，护士顾问发展了在所有领域充分发挥作用所需的技能。一个主要的挑战是发展研究角色，这是护士顾问角色的关键职能。到研究结束时，所有护士顾问都积极地开始从事自己的研究，无论是为博士研究做准备还是作为其一部分。
虽然成人实践中的护士顾问有许多相似之处，但一个主要的区别是护士顾问在照顾儿童和青少年时支持家庭的角色。这意味着要有一种三向沟通方式：与家庭、儿童/青少年和其他医疗保健专业人员。研究助理在观察护士顾问进行临床护理时观察到这种沟通方式，并在角色分析中进一步描述。
